NPI | 1235869579 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301514056) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4351049115) |
Enumeration Date | 2022-06-10 |
Last Update Date | 2025-09-18 |